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PORT45 RECOVERY LLC
NPI 1780033993
Counselor - Addiction (Substance Use Disorder) in Portsmouth, OH

Active since June 08, 2016
1616 GRANT ST, PORTSMOUTH, OH 45662(740) 529-7356 Get Directions Write a Review

NPPES record last updated: October 7, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2019, Aug 7, 2019, Jan 20, 2017 (3 updates tracked since 2017).

About Port45 Recovery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PORT45 RECOVERY LLC (NPI 1780033993) is a healthcare organization registered as an addiction (substance use disorder) in Portsmouth, Ohio and active in the NPI registry since June 2016. The organization lists Sharon Staley, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780033993
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NamePORT45 RECOVERY LLC
Location Address1616 GRANT STPortsmouth, OH 45662-3663
Mailing Address921 Eastwind Dr Ste 101Westerville, OH 43081-5302 · (614) 591-4710
Phone(740) 529-7356
Organization SubpartNo
Authorized OfficialSharon StaleyCeo · (419) 606-3141
Enumeration DateJune 8, 2016
Last NPPES UpdateOctober 7, 20193 updates tracked since enumeration
✔ NPI 1780033993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1616 GRANT ST, Portsmouth, OH 45662
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Other Identifiers 1

Medicaid101YA0400XOH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERI L MARTIN
Counselor (Addiction (Substance Use Disorder))
1616 GRANT ST
PORTSMOUTH, OH 45662
Scioto County (740) 529-7356
HALEY STAPLETON
Case Manager/Care Coordinator
1616 GRANT ST
PORTSMOUTH, OH 45662
Scioto County (740) 529-7356
STEVEN SHANE PERNELL
Counselor (Addiction (Substance Use Disorder))
1616 GRANT ST
PORTSMOUTH, OH 45662
Scioto County (740) 901-0416
JAMES D HILDERBRAND
Counselor (Addiction (Substance Use Disorder))
1616 GRANT ST
PORTSMOUTH, OH 45662
Scioto County (750) 529-7356
ROBERT COAKLEY
Counselor (Addiction (Substance Use Disorder))
1616 GRANT ST
PORTSMOUTH, OH 45662
Scioto County (740) 981-5211
SCOTT KING
Case Manager/Care Coordinator
1616 GRANT ST
PORTSMOUTH, OH 45662
Scioto County (740) 716-1080
MORGAN JACKSON RN, CDCA
Registered Nurse
1616 GRANT ST
PORTSMOUTH, OH 45662
Scioto County (740) 529-7356
ELMER SCHOLL JR.
Counselor (Addiction (Substance Use Disorder))
1616 GRANT ST
PORTSMOUTH, OH 45662
Scioto County (740) 901-0416

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Port45 Recovery LLC's NPI number?

The NPI number for Port45 Recovery LLC is 1780033993. It was assigned to this organization in the NPPES registry on June 8, 2016.

Where is Port45 Recovery LLC located?

Port45 Recovery LLC is located at 1616 Grant St, Portsmouth, OH 45662. The listed phone number is (740) 529-7356.

What is Port45 Recovery LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Port45 Recovery LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Port45 Recovery LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Port45 Recovery LLC was last updated on October 7, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.